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diagnosis hyperkalemia alkalosis endocrinology insufficiency intercellularshift metabolic acidosis cancer classification elevation hypokalemia hypomagnesemia hyponatremia k lactate lactic magnesium management oncology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... Weakness, fatigue, nausea ... ) stimulation test ... insufficiency • Low
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... Step 2) Confirmation ... Step 3) Differentiate ... checked in Step 2 ... - Low ACTH is
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Metabolic Alkalosis - Differential ... Diagnosis Algorithm ... Volume Depleted - 2° ... Expanded - 1° or 2° ... #Nephrology #Causes
Approach to Hypomagnesemia Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
] x 100 FEMg <2% ... #differential # ... diagnosis #causes ... #nephrology #magnesium ... #low
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... • ACEi/ARB • Adrenal ... nephropathy • Beta-2 ... IntercellularShift #Nephrology ... #Causes
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
- Differential ... Diagnosis Algorithm ... Insulin • Beta-2 ... aldosterone • Renal ... #Hypokalemia #Nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Metabolic Alkalosis - Differential ... Diagnosis Algorithm ... Volume Depleted - 2° ... Euvolemic* - 1°/2° ... #Nephrology #Causes
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
levels, Cortisol+ACTH ... stim test (only ... if no clear cause ... 10U reg IV + 1-2 ... Treatment #potassium #nephrology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... / hypoxemia -> focus ... or diagnostic tests ... LV failure - Low ... lactate and can act
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... - Appropriate renal ... , TTKG, distal flow ... Resistance • Beta-2 ... IntercellularShift #Nephrology
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